Author/Editor		Cohn, W; Gregorič, ID; Frazier, OH
Title		Staged reoperation: a novel strategy for high-risk patients
Type		članek
Source		Ann Thorac Surg
Vol. and No.		Letnik 83, št. 4
Publication year		2007
Volume		str. 1558-9
Language		eng
Abstract		A staged reoperative approach may be advantageous in improving surgical outcomes in patients who require multiple reoperations. Patients undergo redo sternotomy and mediastinal dissection only to the extent necessary to perform the indicated procedure. After chest tubes are placed and the sternum and soft tissues are temporarily closed, patients are taken to the postoperative intensive care unit until normothermia is achieved, clotting studies are within normal limits, and chest tube output is nominal. Patients are subsequently returned to the operating room for heparinization, cannulation, and initiation of cardiopulmonary bypass to perform the indicated procedure.
Descriptors		BIOPROSTHESIS ECHOCARDIOGRAPHY, DOPPLER FOLLOW-UP STUDIES MITRAL VALVE INSUFFICIENCY PROSTHESIS FAILURE PROSTHESIS-RELATED INFECTIONS REOPERATION RISK ASSESSMENT STERNUM THORACOTOMY TIME FACTORS TREATMENT OUTCOME WOUND HEALING